细粒棘球蚴病的超声检查与分类

Ultrasonic Examination and Classification of Hydatidosis

目的 :探讨细粒棘球蚴病的超声检查与分类的临床意义。资料与方法 :实时超声观察细粒棘球蚴病各类型的分布及声像图表现。结果 :按病灶部位分为 :(1)实质性脏器 (肝、脾、肾、甲状腺、乳腺、子宫 )包虫囊肿 2 44例 (72 6 % ) ;(2 )含气脏器 (肺 )包虫囊肿 6 5例 (19 3 % ) ;(3)空腔脏器 (腹腔、膀胱、卵巢 )包虫 16例 (4 8% ) ;(4)肌肉 (腹直肌、股四头肌、腓肠肌 )包虫囊肿 6例 (1 8% ) ;(5 )骨、关节部位 (上颌骨、膝关节 )包虫囊肿 5例 (1 5 % )。根据包虫病囊肿的病理基础分为三种类型 :(1)单纯囊 ;(2 )多子囊 ;(3)继发征象。结论 :五类三型分法有助于包虫病的诊断 ,鉴别诊断及治疗 。

Purpose: To assess the clinical value of and to establish classification criteria by ultrasound study in hydatidosis. Materials and Methods: Ultrasonography was carried out in 336 cases of hydatidosis. The sonographic findings could be classified in two ways: defined by tissue/organ involvement, or by morphological features of the lesion. Results: (1) in 244 cases (72.6%), lesions were found spread to parenchymatous organs, like liver, spleen, kidney, thyroid, breast and uterus; (2) hydratid cysts were found in lungs of 65 patients (19.3%); (3) involvement of hollow viscus was noted in 16 cases (4.8%); (4) cystic lesions were revealed in muscles (n=6, 1.8%); and (5) lesions were depicted around joints in 5 patients (1.5%). The sonographic features of those lesions could be categorized into monocyst, multicyst, and secondary signs. Conclusions: Ultrasonography is proved a sensitive, accurate tool in the diagnosis, differentiation, and classification of hydatidosis. The method used in current study, that is, counting tissue/organ involvement and sonographic features, is of practical value in classification of the disease.